Many surgeons make a distinction between a "regular" tummy tuck and an "extended" tummy tuck, though I don't typically differentiate between the two. Either of these procedures address the loose skin of the front of the abdomen. The more loose skin is present, the longer the scar needs to be to achieve the greatest degree of improvement in shape and avoid a dog ear (bunching of skin at the end of the scar). It is not worth limiting the scar length by a few centimeters if the trade-off is a less substantial improvement in shape. A 360 tummy tuck is a more extensive procedure to remove loose skin of the front of the abdomen, love handles (hips), and lower back. It is also called a "belt abdominoplasty" or a "lower body lift." It results in a scar that goes all around the torso (low on the abdomen like a regular tummy tuck scar and just above the buttocks on the back). This procedure can make a more complete improvement in the shape of the torso, but is more extensive, more expensive, has some higher risks, and has a longer recovery. In my practice, most patients who choose this option are patients who have lost a significant amount of weight and have severe skin laxity.